Organization
LAWRENCE A ROBILLARD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE A ROBILLARD MD (PRESIDENT)
(706) 513-8119
Entity
Organization
Contact information
Practice address
1115 GARREDD BLVD, AUGUSTA, GA 30909-6674
(706) 922-0101
(706) 364-0056
Mailing address
3521 GRANITE WAY, MARTINEZ, GA 30907-8969
(706) 513-8119
(706) 432-0606
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
48817
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000673956A
—
GA
05
—
G48817
—
SC
Enumeration date
10/09/2014
Last updated
10/09/2014
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